Index to Chiropractic Literature
Index to Chiropractic Literature
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Tuesday, February 24, 2026
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ID 28708
  Title Feasibility considerations of 24-hour heart rate variability as a wellness-focused biomarker
URL https://doi.org/10.1016/j.jcm.2025.08.006
Journal J Chiropr Med. 2025 ;24(1-4):54-61
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: The purposes of this study were to (1) evaluate heart rate variability (HRV) monitoring for assessing morning, mid-day, evening, and sleep sample periods; (2) assess study-related procedures, personnel, and physical resources available at our institution; (3) identify potential problems and solutions associated with the use of 24-hour HRV at our institution.  

Methods:  Six participants were fitted with 24-hour HRV recording devices (DMS myPatch-sl) and evaluated under 3 conditions; normal-daily-activity, treadmill-walking, and paced-deep-breathing. In addition, each participant maintained a written event-diary during the evaluation period. Tachograms for sample time periods were reported with representative Fast Fourier Transform Power Analyses.

Results: We found that proper ECG electrode patch placement on study participants required specific training and written instructions. The DMS Holter monitor provided good-quality data over the 24-hour period without interfering with normal daily activities. However, there was data loss for 1 hour immediately following exposure of the device to water while showering. Also, there was a need to stabilize the V5 electrode wire to minimize disconnections during sleep. Participant diaries varied considerably in useful information content.

Conclusions: The findings for the 6 participants in this study support the feasibility of and inform applying 24-hour HRV assessment in research studies at our institution.

Author Keywords: Heart Rate; Observer Variation; Electrocardiography, Ambulatory; Biomarkers; Feasibility Studies; Health; Chiropractic

This abstract is reproduced with the permission of the publisher; full text is available by subscription. Online access only.

 
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